Avaliação da assistência pré-natal prestada às gestantes de uma unidade de saúde da família de Sinop-MT

Abstract

Prenatal allows early identification of numerous diseases that are associated with higher maternal mortality and newborn. The main objective of prenatal care is to welcome women from the beginning of pregnancy, ensuring, at the end of pregnancy, the birth of a healthy child and the guarantee of maternal and neonatal well-being. To achieve this goal, the guarantee of welcoming measures is necessary, humane, ethical and solidarity, through a quality and comprehensive care beyond the biological look through minimal actions recommended by the Program for Humanization of Prenatal and Birth and Care Guide to Prenatal low risk, in order to decrease the mortality of mother-child binomial. To evaluate the quality of prenatal care in a Family Health Unit in the city of Sinop, Mato Grosso, according to the parameters recommended by the Program for Humanization of Prenatal and Birth (PHPN) and the Pre Care Manual natal Low Risk. METHODS: Evaluative research, retrospective, descriptive quantitative held in a Health Unit of the municipality of Sinop Family - MT, through interviews with 49 mothers and analysis of 82 records. The data were tabulated using a spreadsheet computer program Windows Word Excel Office (2007), and then presented in the form of tables and graphs, contemplating the relative frequency of the indicators surveyed and its description by simple statistics. Later the data were comparatively analyzed with respect to adequacy of prenatal care process according to the parameters of the Program for Humanization of Prenatal and Birth and Care Guide to Prenatal low risk. RESULTS: The parameters that presented the smallest adjustments were related to educational activities and guidelines made during consultations; registration on Christmas SISPRÉ- only by nurses; evaluation of gestational risk; request for examination in the appropriate quarters; clinical and obstetric procedures that are fundamental in prenatal care and conducting home visits showed up far from the proposed PHPN. As to tetanus immunization and human resources, satisfactory results are shown, being the best results observed. CONCLUSIONS: prenatal care in the FHS analyzed showed results for the most part adequate in relation to PHPN indicators, considering that the achievement of clinical and obstetric procedures is fundamental in prenatal care and none of them reached 100%, although reached high proportions in some parameters analyzed, suggesting deficiencies in care. Failure to registration procedures is a different perception of service quality. In the way of understanding of prenatal quality indicators developed by the health strategies of the family and its importance in the care process to pregnant women, it is expected that health professionals reflect about the assistance that has been offered to women in their pregnancy, and to seek assistance and working tools for the planning, implementation and evaluation of prenatal care, achieving best quality levels of care and assistance.